JORDAN M BURNHAM (NPI# 1427312800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427312800 |
| Entity Type | Individual |
| Full Name | JORDAN M BURNHAM |
| Credential | M.D. |
| Practice Address |
7698 Goodwood Blvd Baton Rouge LA 70806 |
| Mailing Address |
7698 Goodwood Blvd Baton Rouge LA 70806-7622 |
| Practice Telephone | 2259278141 |
| Practice Fax Number | 2259274787 |
| Mailing Telephone | 2259278141 |
| Mailing Fax Number | 2253610336 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2018-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 307857 | LA | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
307857 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LA MEDICAL LICENSE | 307857 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2304 S Burnside Ave, Gonzales, LA 707374664 | 2254506019 | 2259274787 |
| 301 4th St Fl 3, Alexandria, LA 713018411 | 3184428242 | 2259274787 |
| Street Address |
7698 GOODWOOD BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616726 | Stephen M Breaud | Ophthalmology | 7698 Goodwood Blvd, Baton Rouge, LA 70806-7622 | 2005-08-12 |
| 1861767147 | Adam Craig Janot | Ophthalmology | 7698 Goodwood Blvd, Baton Rouge, LA 70806 | 2012-03-20 |
| 1649226580 | Stephen M. Breaud Md A Medical Corp | Specialist | 7698 Goodwood Blvd, Baton Rouge, LA 70806-7622 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134687403 | Williamson Eye Center | Ophthalmology | 9001 Summa Ave Fl 2, Baton Rouge, LA 70809-3726 | 2019-03-06 |
| 1710391099 | Devin Tran | Ophthalmology | 7777 Hennessy Blvd Ste 4000, Baton Rouge, LA 70808-0306 | 2014-06-16 |
| 1033271317 | Donald R Peavy | Ophthalmology | 4848 North Blvd, Baton Rouge, LA 70806-4019 | 2006-12-14 |
| 1295744415 | Eye Laser & Surgery Center, LLC | Ophthalmology | 8777 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70810-2818 | 2006-08-05 |
| 1114959608 | Eye Specialists of Louisiana, LLC | Ophthalmology | 6220 Perkins Road, Baton Rouge, LA 70808-4120 | 2006-07-07 |
| 1124077359 | Robert W.h. Mason | Ophthalmology | 10202 Jefferson Hwy Bldg D, Baton Rouge, LA 70809-3183 | 2006-05-06 |
| 1083616726 | Stephen M Breaud | Ophthalmology | 7698 Goodwood Blvd, Baton Rouge, LA 70806-7622 | 2005-08-12 |
| 1104827112 | Barbara Ann Noguchi | Ophthalmology | 10202 Jefferson Hwy, Bldg D, Baton Rouge, LA 70809-3182 | 2005-08-02 |
| 1538169149 | Russell J Saloom Prof Med Corp | Ophthalmology | 9237 Bluebonnet Blvd, Baton Rouge, LA 70810-2808 | 2005-07-26 |
| 1144225988 | Scott Kimberly Nelson | Ophthalmology | 10423 Old Hammond Hwy, Baton Rouge, LA 70816-8264 | 2005-06-17 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.